Logan Denzil Breitweiser
Logan Denzil Breitweiser is a Counselor in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2022
- Specialties on file
- 3
Practice location Address checks out
123 NW 36th St Ste 210Seattle, WA 98107-4959
Phone: (206) 402-5767
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence MC61463215 (WA) |
|---|---|
| Counselor | Taxonomy 101Y00000X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1174245872 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 19, 2022 |
| Last updated in NPPES | October 11, 2023 |
| Certification date | October 11, 2023 |
| Mailing address | 2801 E Yesler Way Apt 31, Seattle, WA 98122-6576 |
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